Angelia Pinckard Bradley in Johnson City - Professional
Angelia Pinckard Bradley - NPI 1982708665
Angelia Pinckard Bradley is a Professional in Johnson City, Tennessee. Angelia Pinckard Bradley practices all healthcare services and medical treatments related to Professional. The NPI Number for Angelia Pinckard Bradley is 1982708665. The last update date is 2016-09-15.
Angelia Pinckard Bradley's current location address is 210 Joe Hale Dr, Johnson City, Tennessee. You can contact this provider via phone number 4236777824. The mailing address for Angelia Pinckard Bradley is 210 Joe Hale Dr, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelia Pinckard Bradley |
|---|---|
| Address | 210 Joe Hale Dr, Johnson City, Tennessee |
| Phone Number | 4236777824 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MED LPC MH |
NPI Number Detail
| NPI Number | 1982708665 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2016-09-15 |
Provider Mailing Address Detail
| Address | 210 Joe Hale Dr |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376153866 |
| Phone Number | 4236777824 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPCMHSP2004 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 620582605 | CARITEN PHP PPO | ||
| 620582605 | TRICARE SOUTH | ||
| 620582605 | THREE RIVERS PROVI GROUP | ||
| 620582605 | CORPHEALTH | ||
| 620582605 | INITIAL GROUP GROUP | ||
| 620582605 | CARITEN SENIOR PPO | ||
| 620582605 | CARITEN SENIOR HMO | ||
| 4120940 | MAGELLAN SUMMIT | ||
| 10277582 | VIRGINIA MEDICAID CTC | ||
| 4120940 | MAGELLAN NAVIGATOR |
Post Comment/ Review Below
What is the unique provider identifier assigned to Angelia Pinckard Bradley?
The Angelia Pinckard Bradley has been issued the NPI (National Provider Identifier) 1982708665 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Angelia Pinckard Bradley's facilities are geographically located?
The facilities of Angelia Pinckard Bradley are physically situated at the following location: 210 Joe Hale Dr, Johnson City, TN, 376153866.
What is Angelia Pinckard Bradley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Angelia Pinckard Bradley's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982708665 to Angelia Pinckard Bradley?
The Centers for Medicare & Medicaid Services originally issued the 1982708665 to Angelia Pinckard Bradley on 2006-09-12.
As of what date were the Angelia Pinckard Bradley's details last updated?
The information pertaining to the Angelia Pinckard Bradley, including its address, specialty, and other details, was most recently updated on 2016-09-15.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1104829498
Address: 1416 Crown Drive, Kirksville, MO
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA